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Organization
SEJAL U SHAH DDS PC
Active
Organization
SEJAL U SHAH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEJAL U SHAH DDS (PRESIDENT)
(718) 739-6961
Entity
Organization
Contact information
Practice address
8820 169TH ST, JAMAICA, NY 11432-4431
(718) 739-6961
(718) 739-6958
Mailing address
PO BOX 81, ALBERTSON, NY 11507-0081
(718) 739-6961
(718) 739-6958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048976-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145619
—
NY
01
—
17958
DORALDENTAL
NY
Enumeration date
03/05/2007
Last updated
12/31/2007
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